持続性知覚性姿勢誘発めまいに対する理学療法士による前庭リハビリテーションの効果

蒲谷 嘉代子; 川村 愛実; 福島 諒奈; 寶來 慶; 勝見 さち代; 江崎 伸一; 浅井 友詞; 岩﨑 真一

doi:10.3757/jser.83.163

Original articles

Physical Therapist-Supervised Vestibular Rehabilitation for Persistent Postural-Perceptual Dizziness: Pilot Study

Kayoko Kabaya, Manami Kawamura, Akina Fukushima, Kei Horai, Sachiyo Katsumi, Shinichi Esaki, Yuji Asai, Shinichi Iwasaki

Author information

Kayoko Kabaya
Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
Manami Kawamura
Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
Department of Rehabilitation, Nagoya City University Mirai Kousei Hospital
Akina Fukushima
Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
Kei Horai
Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
Sachiyo Katsumi
Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
Shinichi Esaki
Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
Yuji Asai
Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
Department of Rehabilitation, Nihon Fukushi University
Shinichi Iwasaki
Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences

Keywords: persistent postural-perceptual dizziness, vestibular rehabilitation, physical therapist, supervised, pilot study

JOURNAL FREE ACCESS FULL-TEXT HTML

2024 Volume 83 Issue 3 Pages 163-172

DOI https://doi.org/10.3757/jser.83.163

Details

Abstract

Purpose: In this study, we investigated the effectiveness and feasibility of physical therapist-supervised vestibular rehabilitation (PT-VR) in patients with persistent postural-perceptual dizziness (PPPD) who are unresponsive to medication and/or home-based vestibular rehabilitation (home-VR).

Methods: Seven PPPD patients who exhibited resistance to medication and/or home-VR were enrolled. In conjunction with ongoing home-VR, the patients underwent 7 sessions of PT-VR over a three-month period. Improvement of the symptoms and feasibility of the program were evaluated.

Results: Both the PT-VR and home-VR interventions were completed in all the 7 patients. The Dizziness Handicap Inventory score also showed significant improvement, decreasing from the pre-intervention score of 50.1 ± 12.1 points to 37.7 ± 20.2 at 1 month post-intervention and 26.0 ± 17.5% at 3 months post-intervention (p < 0.001). No adverse events were reported.

Conclusion: For PPPD patients showing inadequate response to initial treatment, the combination of PT-VR and home-VR is an effective therapeutic approach for improving the symptom of dizziness.

Corresponding author

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